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PubMed2001

[Diagnosis of aortic emergency].

The CT angiography is the diagnostic method of choice in patients with aortic emergencies. It allows for reliable evaluation of aortic dissection, aortic rupture as well postoperative and post-interventional complications. It can be performed rapidly with the option of continuous monitoring of the patient. Transesophageal echocardiography is an alternative primary diagnostic method in patients with aortic dissections. MRI does not play a role due to the limited possibilities for patient monitoring. Only in patients with limited renal function MRI may be employed instead of CT as primary diagnostic modality.

Acute Disease↗
PubMed2026

Treatment-related associations of nucleus accumbens connectivity within mesocorticolimbic circuits in depression.

Pharmacological treatment remains a mainstay in managing depression, yet the neural correlates associated with treatment response remain incompletely understood. This study used multimodal neuroimaging to examine nucleus accumbens (NAc)-centered structural and functional alterations associated with fluoxetine and Shugan Jieyu Capsule (SG), a traditional Chinese medicine, in patients with mild-to-moderate depression (MMD). Sixty patients were randomized to an 8-week course of fluoxetine or SG. Depression severity was assessed using the 24-item Hamilton Depression Rating Scale (HAMD-24), and structural and functional MRI scans were acquired at baseline and endpoint. Both treatments were associated with significant symptom improvement. Neuroimaging analyses revealed structural and functional alterations involving the NAc. Changes in NAc-amygdala connectivity showed an exploratory association with symptom improvement in the SG group, whereas changes in NAc-rostral anterior cingulate cortex connectivity were associated with symptom improvement in the fluoxetine group and remained significant after correction for multiple comparisons. In addition, remitters exhibited stronger baseline connectivity between the NAc and ventral tegmental area and between the NAc and middle frontal gyrus compared with non-remitters. These findings suggest that NAc-centered connectivity may be relevant to treatment-related neural changes in depression and may inform future research on imaging-based candidate markers of treatment response and personalized treatment approaches. TRIAL REGISTRATION: The study is registered in https://www.chictr.org.cn/ with a registration number ChiCTR1900024988 (date: 08.06.2019).

Humans↗
PubMed2004

Differential effects of testosterone on neuronal populations and their connections in a sensorimotor brain nucleus controlling song production in songbirds: a manganese enhanced-magnetic resonance imaging study.

Nucleus HVC (formerly called high vocal center) of songbirds contains two types of projecting neurons connecting HVC respectively to the nucleus robustus archistriatalis, RA, or to area X. These two neuron classes exhibit multiple neurochemical differences and are differentially replaced by new neurons during adult life: high rates of neuronal replacement are observed in RA-projecting neurons only. The activity of these two types of neurons may also be modulated differentially by steroids. We analyzed by magnetic resonance imaging the effect of testosterone on the volume of RA and area X and on the dynamics of Mn(2+) accumulation in RA and area X of female starlings that had been injected with MnCl(2) through a permanent cannula implanted in HVC. Repeated visualization 6 weeks apart (before and after testosterone treatment) identified a volume increase of both nuclei in testosterone-treated birds associated with a concomitant decrease in controls. Following testosterone treatment, the total amount of Mn(2+) transported to RA and area X increased but the dynamics of accumulation, reflecting in part the activity of HVC neurons, was specifically altered in area X but not in RA. These data indicate that testosterone differentially affects the RA- and area X-projecting neurons in HVC. Manganese-enhanced magnetic resonance imaging (ME-MRI) thus provides repeated measures of connected brain areas and demonstrates testosterone-dependent regionally specific changes in brain activity and functional connectivity. The slow time scales investigated by this technique (compared to functional MRI) appear ideally suited for characterizing slow processes such as those involved in brain plasticity and learning.

Animals↗
PubMed2004

An fMRI study of the cerebral macro network involved in 'cue invariant' form perception and how it is influenced by stimulus complexity.

We investigated the influence of stimulus complexity on the macro network of visual areas involved in 'cue invariant' form perception. Functional MRI imaging on 14 healthy, adult volunteers was performed during a two alternative forced choice (2-AFC) form discrimination task. The functional load imposed onto the visual system was varied by using simple and complex shapes. The figures were defined using a luminance, a chromatic or a motion contrast cue. The three cues activated the same visual areas in the ventral pathway, including area 'LO'. Activation of visual area 'V3v' but not area 'KO' in the dorsal pathway was observed to the motion contrast cue. The simple shapes induced a larger BOLD response in BA18 than the complex shapes, reflecting the selectivity of this region for the features in the stimuli such as edges and vertices. The brain regions yielding a larger BOLD signal to the complex shapes were areas know to be selective to the orthographic content of our complex stimuli. The processing requirement was assessed by comparing the subjects' reaction time. We found no significant difference in the reaction times to the simple and complex shapes. The reaction times to the luminance contrast cue and the chromatic contrast cue were identical but that to the motion contrast cue were 200 ms longer. This finding concurs with neurophysiological studies, reporting a longer onset latency for motion contrast stimuli. It further lends support to the idea that the motion contrast cue requires auxiliary processing by the visual areas of the dorsal pathway before entry into the ventral pathway.

Adult↗
PubMed2006

Advances in treatment of pediatric brain tumors.

The long-term survival of children with brain tumor has improved considerably in the last three decades, owing to advances in neuroimaging, neurosurgical, and radiation therapy modalities, coupled with the application of conventional chemotherapy. MRI, MR spectroscopy and diffusion-weighted MRI have contributed to more accurate diagnosis, prognostication and better treatment planning. Neurosurgical treatment has been advanced by the use of functional MRI, and intraoperative image-guided stereotactic techniques and electrophysiologic monitoring. The use of 3-D conformal and intensity-modulated radiation therapy, stereotactic radiosurgery, and radiosensitizing agents has made radiation therapy safer and more effective. Conventional chemotherapy, administered either alone or combined with radiation therapy has improved survival and quality of life of children with brain tumors. These improved outcomes have also occurred, due, in part, to their treatment on collaborative national and international studies. Recent promising diagnostic and therapeutic strategies have resulted from advances in understanding molecular brain tumor biology. Important new approaches include the refinement of drug-delivery strategies, the evaluation of biologic markers to stratify patients for optimal treatment and to exploit these molecular differences using "targeted" therapeutic strategies. These approaches include blocking tumor cell drug resistance mechanisms, immunotherapy, inhibition of molecular signal transduction pathways important in tumorigenesis, anti-angiogenic therapy, and gene therapy. The thrust of such approaches for children with brain tumors is especially directed at reducing the toxicity of therapy and improving quality-of-life, as well as increasing disease-free survival.

Brain Neoplasms↗
PubMedDate not supplied

Lateralization of brain activation to imagination and smell of odors using functional magnetic resonance imaging (fMRI): left hemispheric localization of pleasant and right hemispheric localization of unpleasant odors.

PURPOSE: Our goal was to use functional MRI (fMRI) of brain to reveal activation in each cerebral hemisphere in response to imagination and smell of odors. METHOD: FMRI brain scans were obtained in 24 normal subjects using multislice fast low angle shot (FLASH) MRI in response to imagination of banana and peppermint odors and in response to smell of corresponding odors of amyl acetate and menthone, respectively, and of pyridine. Three coronal sections selected from anterior to posterior brain regions were used. Similar studies were obtained in two patients with hyposmia using FLASH MRI and in one patient with hyposmia using echo planar imaging (EPI) both before and after theophylline treatment that returned smell function to or toward normal in each patient and in two patients with birhinal phantosmia (persistent foul odor) and global phantogeusia (persistent foul taste) with FLASH and EPI fMRI before and after treatment with neuroleptic drugs that inhibited their phantosmia and phantogeusia. Activation images were derived using correlation analysis. Ratios of hemispheric areas of brain activation to total hemispheric brain areas were calculated for FLASH fMRI, and numerical counts of pixel clusters in each hemisphere were made for EPI studies. Total pixel cluster counts in localized regions of each hemispheric section were also obtained. RESULTS: In normal subjects, activation generally occurred in left (L) > right (R) brain hemisphere in response to banana and peppermint odor imagination and to smell of corresponding odors of amyl acetate and menthone. Whereas there were no overall hemispheric differences for pyridine odor, activation in men was R > L hemisphere. Although absolute activation in both L and R hemispheres in response to banana odor imagination and amyl acetate smell was men > women, the ratio of L to R activation was women > men. In hyposmic patients studied by FLASH fMRI, activation to banana odor imagination and amyl acetate smell was L > R hemisphere both before and after theophylline treatment. In the hyposmic patient studied with EPI before theophylline treatment, activation to banana and peppermint odor imagination and to amyl acetate, menthone, and pyridine smell was R > L hemisphere; after theophylline treatment restored normal smell function, activation shifted completely with banana and peppermint odor imagination and amyl acetate and menthone smell to L > R hemisphere, consistent with responses in normal subjects. However, this shift also occurred for pyridine smell, which is opposite to responses in normal control subjects. In patients with phantosmia and phantogeusia, activation to phantosmia and phantogeusia before treatment was R > L hemisphere; after treatment inhibited phantosmia and phantogeusia, activation shifted with a slight L > R hemispheric lateralization. Localization of all lateralized responses indicated that anterior frontal and temporal cortices were brain regions most involved with imagination and smell of odors and with phantosmia and phantogeusia presence. CONCLUSION: Imagination and smell of odors perceived as pleasant generally activated the dominant or L > R brain hemisphere. Smell of odors perceived as unpleasant and unpleasant phantosmia and phantogeusia generally activated the contralateral or R > L brain hemisphere. With remission of phantosmia and phantogeusia, hemispheric activation was not only inhibited, but also there was a slight shift to L > R hemispheric predominance. Predominant L > R hemispheric differences in brain activation in normal subjects occurred in the order amyl acetate > menthone > pyridine, consistent with the hypothesis that pleasant odors are more appreciated in L hemisphere and unpleasant odors more in R hemisphere. Anterior frontal and temporal cortex regions previously found activated by imagination and smell of odors and phantosmia and phantogeusia perception accounted for most hemispheric differences.

Adult↗
PubMed2006

Motor cortex activation during treatment may predict therapeutic gains in paretic hand function after stroke.

BACKGROUND AND PURPOSE: Functional brain imaging after stroke offers insight into motor network adaptations. This exploratory study examined whether motor cortical activation captured during arm-focused therapy can predict paretic hand functional gains. METHODS: Eight hemiparetic patients had serial functional MRI (fMRI) while performing a pinch task before, midway, and after 2 weeks of constraint-induced therapy. The Wolf Motor Function Test (WMFT) was performed before and after intervention. RESULTS: There was a linear reduction in ipsilateral (contralesional) primary motor (M1) activation (voxel counts) across time. The midpoint M1 Laterality Index anticipated post-therapeutic change in time to perform the WMFT. The change in ipsilateral M1 voxel count (pre- to mid-) correlated with the change in mean WMFT time (pre- to post-). CONCLUSIONS: The relationship between brain activation during treatment and functional gains suggests a use for serial fMRI in predicting the success and optimal duration for a focused therapeutic intervention.

Aged↗
PubMed2005

[Conventional and diffusion magnetic resonance imaging in the acute phase of severe traumatic brain injury].

Neuro-imaging is essential for the initial evaluation and subsequent control in the acute stage of severe head injury. In these indications tomodensitometry (TDM) has a pivotal role. Despite the well recognized contribution of magnetic resonance imaging (MRI) to the investigation of most of acute neurological pathologies, MRI is not still a routine procedure for the initial investigation of patients with acute head injury. The superiority of morphological and functional MRI on TDM in this indication is discussed.

Acute Disease↗
PubMed2004

Advances in functional and structural MR image analysis and implementation as FSL.

The techniques available for the interrogation and analysis of neuroimaging data have a large influence in determining the flexibility, sensitivity, and scope of neuroimaging experiments. The development of such methodologies has allowed investigators to address scientific questions that could not previously be answered and, as such, has become an important research area in its own right. In this paper, we present a review of the research carried out by the Analysis Group at the Oxford Centre for Functional MRI of the Brain (FMRIB). This research has focussed on the development of new methodologies for the analysis of both structural and functional magnetic resonance imaging data. The majority of the research laid out in this paper has been implemented as freely available software tools within FMRIB's Software Library (FSL).

Bayes Theorem↗
PubMed2006

Sex influences on material-sensitive functional lateralization in working and episodic memory: men and women are not all that different.

Research investigating the effects of sex on the lateralization of language functions has produced mixed results to date, with some studies finding sex differences and others not [Shaywitz, B.A., Shaywitz, S.E., Pugh, K.R., Constable, R.T., Skudlarski, P., Fulbright, R.K., Bronen, R.A., Fletcher, J.M., Shankweiler, D.P., Katz, L., et al., 1995. Sex differences in the functional organization of the brain for language. Nature 373 607-609.; Frost, J.A., Binder, J.R., Springer, J.A., Hammeke, T.A., Bellgowan, P.S., Rao, S.M., Cox, R.W., 1999. Language processing is strongly left lateralized in both sexes. Evidence from functional MRI. Brain 122 (Pt 2) 199-208.]. Further, few studies have evaluated how any such sex effects extend to tasks involving cognitive functions that may utilize language processes such as working and episodic memory. This study examined sex difference in material-sensitive functional activation (using fMRI) in working memory and episodic memory that included either words and faces. We performed these analyses on two large groups of healthy subjects with the goal of attempting to replicate results across two independent data sets. The results indicated that both males and females showed strong and consistent evidence for material-sensitive lateralization for both working and episodic memory, such that word tasks resulted in greater left-sided activation and face tasks resulted in greater right-sided activation. Further, few of the sex differences in regions showing material specificity effects in at least one gender replicated across studies, providing little evidence for any differences in lateralization patterns between the sexes. In conclusion, our data suggest that males and females show a similar pattern of lateralized activation to material type during working memory and recognition tasks.

Adult↗
PubMed2003

Protocol to determine the optimal intraoral passive shim for minimisation of susceptibility artifact in human inferior frontal cortex.

At higher static magnetic field (B(0)) strengths (>/=3 T), the study of human inferior frontal cortex (IFC) when utilising a variety of MRI techniques is severely hampered by the presence of susceptibility artifacts. This is particularly the case for blood oxygenation level-dependent functional MRI, where large signal voids are generally encountered in the frontal lobes. A previous study described an approach to artifact correction involving a mouth insert consisting of a prototype diamagnetic passive shim [Magn. Reson. Med. 48 (2002), 906]. Here we extend that method by investigating the effect of five different intraoral passive shims on B(0) homogeneity and echoplanar imaging susceptibility artifacts within the brain, and particularly the IFC, of six subjects. The optimal passive shim is shown to be subject- and study-specific, providing an average reduction in mean absolute B(0) offset within the IFC of 57%, along with a concomitant reduction in echoplanar susceptibility artifact. All subjects were at ease while wearing the intraoral shims. A 4-min in vivo protocol to determine the optimal passive shim from the available set, utilising intrinsic structural and B(0) subject data, is described and shown to be accurate and reliable.

Artifacts↗
PubMed2004

Motor areas beyond motor performance: deficits in serial prediction following ventrolateral premotor lesions.

Previous functional MRI findings have indicated that a premotor-parietal network is involved in the perceptual processing of sequential information. Given that premotor functions have traditionally been restricted to behaviors requiring motor or sensorimotor computations, the goal of the present patient study was to further investigate whether the lateral premotor cortex is critical in purely perceptual sequencing. Patients with either ventral premotor or inferior parietal lesions, in addition to patients with prefrontal lesions and age- and gender-matched healthy controls, were tested during the processing of temporal, object-specific, and spatial sequences. Results revealed that premotor patients as well as parietal patients showed significantly higher error rates than did healthy controls on all sequence tasks. In contrast, prefrontal patients showed no behavioral deficits. These findings support the significance of the ventrolateral premotor cortex, in addition to parietal areas, in nonmotor (attentional) functions.

Adult↗
PubMed2000

Parsing executive processes: strategic vs. evaluative functions of the anterior cingulate cortex.

Event-related functional MRI and a version of the Stroop color naming task were used to test two conflicting theories of anterior cingulate cortex (ACC) function during executive processes of cognition. A response-related increase in ACC activity was present when strategic processes were less engaged, and conflict high, but not when strategic processes were engaged and conflict reduced. This is inconsistent with the widely held view that the ACC implements strategic processes to reduce cognitive conflicts, such as response competition. Instead, it suggests that the ACC serves an evaluative function, detecting cognitive states such as response competition, which may lead to poor performance, and representing the knowledge that strategic processes need to be engaged.

Analysis of Variance↗
PubMed2002

Neuronavigation: concept, techniques and applications.

Neuronavigation provides intraoperative orientation to the surgeon, helps in planning a precise surgical approach to the targetted lesion and defines the surrounding neurovascular structures. Incorporation of the functional data provided by functional MRI and magnetoencephalography (MEG) with neuronavigation helps to avoid the eloquent areas of the brain during surgery. An intraoperative MRI enables radical resection of the lesions, the possibility of immediate control for tumor remnants and updates of neuronavigation with intraoperative images to compensate for brain shift. In this study, the experience of 432 patients undergoing neuronavigation assisted neurosurgical interventions using either the pointer-based or microscope-based navigational systems at the University of Erlangen-Nuremberg, Germany is presented. The procedures included stereotactic biopsy (n=53), stereotactic cyst puncture/ventricular drainage (n=15), eloquent cortex/tumor localization to facilitate tumor resection, assessment of neurovascular structures in the vicinity of tumors of the sellar-suprasellar regions, skull base, posterior fossa and ventricular region (n=252), and, surgery for epilepsy (n=9). Functional brain mapping using fMRI and MEG and their integration with neuronavigation was carried out in 24 and 128 patients respectively. The simultaneous use of intraoperative MRI to look for the remaining tumor was done in 159 patients and the update of navigational data was carried out in 17 patients. The mean system accuracy obtained by using both the fiducial registration as well as anatomical landmark-surface fitting computer algorithm was 1.81 mm. This study reviews the relative merits and demerits of the pointer and microscope based navigational systems and also highlights the role of functional brain mapping and intraoperative MRI, when integrated with neuronavigation, in the surgical decision-making to offer the chances of more radical resections with minimal morbidity.

Adolescent↗
PubMed2006

Direct parallel image reconstructions for spiral trajectories using GRAPPA.

The use of spiral trajectories is an efficient way to cover a desired k-space partition in magnetic resonance imaging (MRI). Compared to conventional Cartesian k-space sampling, it allows faster acquisitions and results in a slight reduction of the high gradient demand in fast dynamic scans, such as in functional MRI (fMRI). However, spiral images are more susceptible to off-resonance effects that cause blurring artifacts and distortions of the point-spread function (PSF), and thereby degrade the image quality. Since off-resonance effects scale with the readout duration, the respective artifacts can be reduced by shortening the readout trajectory. Multishot experiments represent one approach to reduce these artifacts in spiral imaging, but result in longer scan times and potentially increased flow and motion artifacts. Parallel imaging methods are another promising approach to improve image quality through an increase in the acquisition speed. However, non-Cartesian parallel image reconstructions are known to be computationally time-consuming, which is prohibitive for clinical applications. In this study a new and fast approach for parallel image reconstructions for spiral imaging based on the generalized autocalibrating partially parallel acquisitions (GRAPPA) methodology is presented. With this approach the computational burden is reduced such that it becomes comparable to that needed in accelerated Cartesian procedures. The respective spiral images with two- to eightfold acceleration clearly benefit from the advantages of parallel imaging, such as enabling parallel MRI single-shot spiral imaging with the off-resonance behavior of multishot acquisitions.

Algorithms↗
PubMed1996

MR-imaging of non-Alzheimer's dementia.

Up to now, computerized tomography (CT) and MR-imaging have been used for the morphological assessment of dementia patients, while MRI has become the structure imaging modality of choice. With the advent of fast and ultrafast sequences provided by higher gradient field strengths, functional MR studies like diffusion, perfusion and activation studies become available. The greatest advantage of MR is its versatility including MR-imaging, 3D postprocessing, MR-volumetry, MR-spectroscopy, MR-angiography, MR-perfusion and diffusion imaging as well as functional MRI activation studies. The application of the multimodal MR-technology in dementia disorders has already began and has to be validated in clinical practice. The multimodality of MR represents a diagnostic challenge for the future with the hope, that the diagnostic efficacy, which has to be proven, is also followed by an improvement of patients care and prognosis.

Adolescent↗
PubMed2005

Quantitative architectural analysis: a new approach to cortical mapping.

Recent progress in anatomical and functional MRI has revived the demand for a reliable, topographic map of the human cerebral cortex. Till date, interpretations of specific activations found in functional imaging studies and their topographical analysis in a spatial reference system are, often, still based on classical architectonic maps. The most commonly used reference atlas is that of Brodmann and his successors, despite its severe inherent drawbacks. One obvious weakness in traditional, architectural mapping is the subjective nature of localising borders between cortical areas, by means of a purely visual, microscopical examination of histological specimens. To overcome this limitation, more objective, quantitative mapping procedures have been established in the past years. The quantification of the neocortical, laminar pattern by defining intensity line profiles across the cortical layers, has a long tradition. During the last years, this method has been extended to enable a reliable, reproducible mapping of the cortex based on image analysis and multivariate statistics. Methodological approaches to such algorithm-based, cortical mapping were published for various architectural modalities. In our contribution, principles of algorithm-based mapping are described for cyto- and receptorarchitecture. In a cytoarchitectural parcellation of the human auditory cortex, using a sliding window procedure, the classical areal pattern of the human superior temporal gyrus was modified by a replacing of Brodmann's areas 41, 42, 22 and parts of area 21, with a novel, more detailed map. An extension and optimisation of the sliding window procedure to the specific requirements of receptorarchitectonic mapping, is also described using the macaque central sulcus and adjacent superior parietal lobule as a second, biologically independent example. Algorithm-based mapping procedures, however, are not limited to these two architectural modalities, but can be applied to all images in which a laminar cortical pattern can be detected and quantified, e.g. myeloarchitectonic and in vivo high resolution MR imaging. Defining cortical borders, based on changes in cortical lamination in high resolution, in vivo structural MR images will result in a rapid increase of our knowledge on the structural parcellation of the human cerebral cortex.

Algorithms↗
PubMed2004

A complex way to compute fMRI activation.

In functional magnetic resonance imaging, voxel time courses after Fourier or non-Fourier "image reconstruction" are complex valued as a result of phase imperfections due to magnetic field inhomogeneities. Nearly all fMRI studies derive functional "activation" based on magnitude voxel time courses [Bandettini, P., Jesmanowicz, A., Wong, E., Hyde, J.S., 1993. Processing strategies for time-course data sets in functional MRI of the human brain. Magn. Reson. Med. 30 (2): 161-173 and Cox, R.W., Jesmanowicz, A., Hyde, J.S., 1995. Real-time functional magnetic resonance imaging. Magn. Reson. Med. 33 (2): 230-236]. Here, we propose to directly model the entire complex or bivariate data rather than just the magnitude-only data. A nonlinear multiple regression model is used to model activation of the complex signal, and a likelihood ratio test is derived to determine activation in each voxel. We investigate the performance of the model on a real dataset, then compare the magnitude-only and complex models under varying signal-to-noise ratios in a simulation study with varying activation contrast effects.

Algorithms↗